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111 AESTHETICS NPI 1215584958


NPI Information

NPI: 1215584958
Provider Name: 111 AESTHETICS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
111 S KNOWLES AVE STE 201
WINTER PARK, FL
ZIP 32789
Phone: (321) 972-3686
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111 AESTHETICS is a durable medical equipment medical supplies in Winter Park, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. 111 AESTHETICS NPI is 1215584958. The provider is registered as an organization entity type.

The provider's business location address is:

111 S KNOWLES AVE STE 201
WINTER PARK, FL
ZIP 32789-300
Phone: (321) 972-3686
Fax: (407) 250-9731

The provider's authorized official is Mark Evans .
The authorized official title is Manager and has the following contact phone number (321) 972-3686.

The enumeration date for this NPI number is 8/19/2019 and was last updated on 4/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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